| NPI | 1316024557 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | JAN GREEN Business Manager 740-773-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |